Reintegration to Normal Living (RNL) Index
Description: A measure of community reintegration, which covers areas such as participation in recreational and social activities, movement within the community and the degree of comfort the individual has in his/her role in the family and with other relationships .
Format: 11 items measuring satisfaction regarding perceived physical functioning, and social and emotional life.
Scoring: There are different scoring algorithms for this measure. There is a 1) visual analog scale ranging from 0 to 10; 2) a three-point scoring system; and 3) a four-point scoring system. Regardless of the scoring system used, higher scores represent higher levels of participation.
Administration and Burden: Self-administered; Interviewer-administered;
Psychometrics for SCI: Internal consistency from a sample of persons with acute mobility impairments (including persons with spinal cord injury), yielded a Cronbach α = .91. The RNL Index has been found to have good construct validity .
Languages: English; French.
QoL Concept: The RNL Index measures Participation/Community Reintegration, which corresponds to Boxes C (achievements; participation/community reintegration), and E (subjective evaluations and reactions) of Dijker’s Model.
Permissions/Where to Obtain: Public Domain; A copy of the RNL Index may be obtained at the Stroke Engine website at: http://www.medicine.mcgill.ca/strokengine-assess/module_rnli_family-en.html
**CLICK ON THE LISTED SECONDARY HEALTH CONDITIONS ON THE RIGHT TO READ HOW THE RNL HAS BEEN USED WITH A PARTICULAR CONDITION**
- Wood-Dauphinée SL, Opzoomer MA, Williams JI, Marchand B, Spitzer WO. Assessment of global function: The reintegration to normal living index. Arch Phys Med Rehabil 1988;69:583-90.
- Stark SL, Edwards DF, Hollingsworth H, Gray DB. Validation of the reintegration to normal living index in a population of community-dwelling people with mobility limitations. Arch Phys Med Rehabil 2005;86:344-5.